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Application for Admission
This application is for a
Certificate Program,
B.A.,
M.A., or
Ph.D degree (check one).
Your Name:
Street or P.O. Box:
City:
State & Country:
Email:
Phone Number:
Fax Number:
Previous Education:
Summary of Work Experience:
Educational Goals:
Future Goals:
What interests you specifically about the
International University's curriculum?
Additional Related Experience and Educational Activities
pertinent to the degree program for which you are applying:
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